Ultimate Test Bank – Medical-Surgical Nursing: Concepts for Clinical
Judgment & Collaborative Care (11th Ed)
By Ignatavicius
NGN-Style Questions, Rationales & Clinical Excellence | ISBN-13: 978-0323878265
,Table of Contents
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing ........ 3
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing ......................... 8
Chapter 03: Common Health Problems of Older Adults .......................................... 13
Chapter 04: Assessment and Care of Patients with Pain ....................................... 20
Chapter 05: Genetic Concepts for Medical-Surgical Nursing ................................... 32
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems .............. 38
Chapter 07: End-of-Life Care ................................................................. 44
Chapter 08: Concepts of Emergency and Trauma Nursing ....................................... 50
Chapter 09: Care of Patients with Common Environmental Emergencies .......................... 56
Chapter 10: Concepts of Emergency and Disaster Preparedness ................................. 62
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances .......... 68
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances ...................... 76
Chapter 13: Infusion Therapy ................................................................. 83
Chapter 14: Care of Preoperative Patients .................................................. 94
Chapter 15: Care of Intraoperative Patients ................................................. 103
Chapter 16: Care of Postoperative Patients ................................................ 109
Chapter 17: Inflammation and Immunity ...................................................... 116
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases .......... 122
Chapter 19: Care of Patients with HIV Disease .............................................. 138
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity ............. 147
Chapter 21: Cancer Development ............................................................. 152
Chapter 22: Care of Patients with Cancer .................................................. 157
Chapter 23: Care of Patients with Infection ............................................... 167
Chapter 24: Assessment of the Skin, Hair, and Nails ........................................ 174
Chapter 25: Care of Patients with Skin Problems ............................................ 179
Chapter 26: Care of Patients with Burns ................................................... 196
Chapter 27: Assessment of the Respiratory System .......................................... 213
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy ..................... 220
Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems ................. 226
Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems ................. 233
Chapter 31: Care of Patients with Infectious Respiratory Problems .......................... 245
Chapter 32: Care of Critically Ill Patients with Respiratory Problems ..................... 256
Chapter 33: Assessment of the Cardiovascular System ....................................... 269
Chapter 34: Care of Patients with Dysrhythmias ............................................ 278
Chapter 35: Care of Patients with Cardiac Problems ........................................ 287
Chapter 36: Care of Patients with Vascular Problems ....................................... 298
Chapter 37: Care of Patients with Shock ................................................... 310
,Chapter 38: Care of Patients with Acute Coronary Syndromes ................................. 317
Chapter 39: Assessment of the Hematologic System .......................................... 327
Chapter 40: Care of Patients with Hematologic Problems .................................... 331
Chapter 41: Assessment of the Nervous System .............................................. 343
Chapter 42: Assessment of Patients with Problems of the CNS: The Brain .................... 353
Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord ..................... 364
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System ............... 374
Chapter 45: Care of Critically Ill Patients with Neurologic Problems ...................... 380
Chapter 46: Assessment of the Eye and Vision ............................................... 394
Chapter 47: Care of Patients with Eye and Vision Problems ................................. 397
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems ................. 403
Chapter 49: Assessment of the Musculoskeletal System ...................................... 410
Chapter 50: Care of Patients with Musculoskeletal Problems ................................ 415
Chapter 51: Care of Patients with Musculoskeletal Trauma .................................. 424
Chapter 52: Assessment of the Gastrointestinal System ..................................... 435
Chapter 53: Care of Patients with Oral Cavity Problems .................................... 441
Chapter 54: Care of Patients with Esophageal Problems ..................................... 445
Chapter 55: Care of Patients with Stomach Disorders ....................................... 454
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders .................... 461
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders ....................... 471
Chapter 58: Care of Patients with Liver Problems .......................................... 481
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas ............. 489
Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity ............... 497
Chapter 61: Assessment of the Endocrine System ............................................ 506
Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems .................... 512
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands .......... 520
Chapter 64: Care of Patients with Diabetes Mellitus ....................................... 527
Chapter 65: Assessment of the Renal/Urinary System ........................................ 549
Chapter 66: Care of Patients with Urinary Problems ........................................ 557
Chapter 67: Care of Patients with Kidney Disorders ........................................ 568
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease .......... 575
Chapter 69: Assessment of the Reproductive System ......................................... 587
Chapter 70: Care of Patients with Breast Disorders ........................................ 591
Chapter 71: Care of Patients with Gynecologic Problems .................................... 598
Chapter 72: Care of Patients with Male Reproductive Problems .............................. 605
Chapter 73: Care of Transgender Patients .................................................. 614
Chapter 74: Care of Patients with Sexually Transmitted Diseases ........................... 618
, Chapter 01: Overview of2Professional Nursing Concepts for2Medical- Surgical
Nursing
MULTIPLE CHOICE
1. A nurse2wishes2to provide client-
centered2care2in all interactions. Which action by the nurse2best demonstrates this concept?
a. Assesses for2 cultural2 influences affecting health care
b. Ensures that2all2the clients basic needs are2met
c. Tells the client2and family2about all2upcoming tests
d. Thoroughly orients the client2 and family2 to the2room
Answer: A
Competency in2client-
focused2care2is demonstrated when2the nurse focuses on communication, culture,
respect2compassion, client2educ ation, and empowerment. By assessing the effect of2the clients
culture on health care, this nurse is practicing client-
focused care. Providing for basic needs does not demonstrate this competence. Simply telling
the2client about2 all upcoming tests is not2providing empowering2education. Orienting the client
and family2to the2room2is an2im portant2safety2measure, but2not2directly2related to
demonstrating client-centered care.
DIF: Understanding/Comprehension REF:
3 KEY: Patient-
centered2care| culture MSC: Integrated Process: Caring2NOT: Client
Needs Category: Psychosocial Integrity
2. A nurse2is caring for2a postoperative2client2on2the surgical unit. The clients blood2pressure
was 142/762mm2H g 30 minutes ago, and2now is 88/50 mm2Hg. What action2by the nurse
is best?
a. Call2the Rapid2 Response2Team.
b. Document2and2continue to monitor.
c. Notify2the primary care provider.
d. Repeat blood2 pressure2measurement2 in215 minutes.
Judgment & Collaborative Care (11th Ed)
By Ignatavicius
NGN-Style Questions, Rationales & Clinical Excellence | ISBN-13: 978-0323878265
,Table of Contents
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing ........ 3
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing ......................... 8
Chapter 03: Common Health Problems of Older Adults .......................................... 13
Chapter 04: Assessment and Care of Patients with Pain ....................................... 20
Chapter 05: Genetic Concepts for Medical-Surgical Nursing ................................... 32
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems .............. 38
Chapter 07: End-of-Life Care ................................................................. 44
Chapter 08: Concepts of Emergency and Trauma Nursing ....................................... 50
Chapter 09: Care of Patients with Common Environmental Emergencies .......................... 56
Chapter 10: Concepts of Emergency and Disaster Preparedness ................................. 62
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances .......... 68
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances ...................... 76
Chapter 13: Infusion Therapy ................................................................. 83
Chapter 14: Care of Preoperative Patients .................................................. 94
Chapter 15: Care of Intraoperative Patients ................................................. 103
Chapter 16: Care of Postoperative Patients ................................................ 109
Chapter 17: Inflammation and Immunity ...................................................... 116
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases .......... 122
Chapter 19: Care of Patients with HIV Disease .............................................. 138
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity ............. 147
Chapter 21: Cancer Development ............................................................. 152
Chapter 22: Care of Patients with Cancer .................................................. 157
Chapter 23: Care of Patients with Infection ............................................... 167
Chapter 24: Assessment of the Skin, Hair, and Nails ........................................ 174
Chapter 25: Care of Patients with Skin Problems ............................................ 179
Chapter 26: Care of Patients with Burns ................................................... 196
Chapter 27: Assessment of the Respiratory System .......................................... 213
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy ..................... 220
Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems ................. 226
Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems ................. 233
Chapter 31: Care of Patients with Infectious Respiratory Problems .......................... 245
Chapter 32: Care of Critically Ill Patients with Respiratory Problems ..................... 256
Chapter 33: Assessment of the Cardiovascular System ....................................... 269
Chapter 34: Care of Patients with Dysrhythmias ............................................ 278
Chapter 35: Care of Patients with Cardiac Problems ........................................ 287
Chapter 36: Care of Patients with Vascular Problems ....................................... 298
Chapter 37: Care of Patients with Shock ................................................... 310
,Chapter 38: Care of Patients with Acute Coronary Syndromes ................................. 317
Chapter 39: Assessment of the Hematologic System .......................................... 327
Chapter 40: Care of Patients with Hematologic Problems .................................... 331
Chapter 41: Assessment of the Nervous System .............................................. 343
Chapter 42: Assessment of Patients with Problems of the CNS: The Brain .................... 353
Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord ..................... 364
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System ............... 374
Chapter 45: Care of Critically Ill Patients with Neurologic Problems ...................... 380
Chapter 46: Assessment of the Eye and Vision ............................................... 394
Chapter 47: Care of Patients with Eye and Vision Problems ................................. 397
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems ................. 403
Chapter 49: Assessment of the Musculoskeletal System ...................................... 410
Chapter 50: Care of Patients with Musculoskeletal Problems ................................ 415
Chapter 51: Care of Patients with Musculoskeletal Trauma .................................. 424
Chapter 52: Assessment of the Gastrointestinal System ..................................... 435
Chapter 53: Care of Patients with Oral Cavity Problems .................................... 441
Chapter 54: Care of Patients with Esophageal Problems ..................................... 445
Chapter 55: Care of Patients with Stomach Disorders ....................................... 454
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders .................... 461
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders ....................... 471
Chapter 58: Care of Patients with Liver Problems .......................................... 481
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas ............. 489
Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity ............... 497
Chapter 61: Assessment of the Endocrine System ............................................ 506
Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems .................... 512
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands .......... 520
Chapter 64: Care of Patients with Diabetes Mellitus ....................................... 527
Chapter 65: Assessment of the Renal/Urinary System ........................................ 549
Chapter 66: Care of Patients with Urinary Problems ........................................ 557
Chapter 67: Care of Patients with Kidney Disorders ........................................ 568
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease .......... 575
Chapter 69: Assessment of the Reproductive System ......................................... 587
Chapter 70: Care of Patients with Breast Disorders ........................................ 591
Chapter 71: Care of Patients with Gynecologic Problems .................................... 598
Chapter 72: Care of Patients with Male Reproductive Problems .............................. 605
Chapter 73: Care of Transgender Patients .................................................. 614
Chapter 74: Care of Patients with Sexually Transmitted Diseases ........................... 618
, Chapter 01: Overview of2Professional Nursing Concepts for2Medical- Surgical
Nursing
MULTIPLE CHOICE
1. A nurse2wishes2to provide client-
centered2care2in all interactions. Which action by the nurse2best demonstrates this concept?
a. Assesses for2 cultural2 influences affecting health care
b. Ensures that2all2the clients basic needs are2met
c. Tells the client2and family2about all2upcoming tests
d. Thoroughly orients the client2 and family2 to the2room
Answer: A
Competency in2client-
focused2care2is demonstrated when2the nurse focuses on communication, culture,
respect2compassion, client2educ ation, and empowerment. By assessing the effect of2the clients
culture on health care, this nurse is practicing client-
focused care. Providing for basic needs does not demonstrate this competence. Simply telling
the2client about2 all upcoming tests is not2providing empowering2education. Orienting the client
and family2to the2room2is an2im portant2safety2measure, but2not2directly2related to
demonstrating client-centered care.
DIF: Understanding/Comprehension REF:
3 KEY: Patient-
centered2care| culture MSC: Integrated Process: Caring2NOT: Client
Needs Category: Psychosocial Integrity
2. A nurse2is caring for2a postoperative2client2on2the surgical unit. The clients blood2pressure
was 142/762mm2H g 30 minutes ago, and2now is 88/50 mm2Hg. What action2by the nurse
is best?
a. Call2the Rapid2 Response2Team.
b. Document2and2continue to monitor.
c. Notify2the primary care provider.
d. Repeat blood2 pressure2measurement2 in215 minutes.
